Credentialing Specialist II (Remote Opportunity!)
$25-50 USD / 時間
Position Overview
The Credentialing Specialist II performs the credentialing and re-credentialing of provider applications in accordance with the departmental policies and procedures and in compliance with applicable State and Federal laws and regulations, as well as National Committee for Quality Assurance (NCQA) standards.
Primary Duties and Responsibilities
Receives and processes incoming applications and supporting credentials from providers
Performs timely follow-up with providers on all pending applications
Performs the primary source verification according to departmental policies and NCQA standards
Builds and accurately maintains provider information in various systems
Responds to inquiries regarding the status of provider’s application
Qualifications
Knowledge, Skills and Abilities
1-3 years credentialing experience, preferably in a managed care setting, preferred
Associate degree or Certified Provider Credentialing Specialist (CPCS) certified preferred
Knowledge of NCQA standards and payer credentialing standards highly desired
Previous experience working with Council for Affordable Quality Healthcare (CAQH) application highly desired
Knowledge of dental industry preferred
Strong computer, data entry and clerical skills required
Excellent interpersonal, oral and written communication skills required
Critical thinking, detail oriented and strong organizational skills required
Leadership Behaviors
Continuously strives to provide superior products and customer service
Builds collaborative relationships that are mutually respectful
Demonstrates self-awareness and embraces feedback
プロジェクトID: #18924682
プロジェクトについて
5 人のフリーランサーが、平均$33/時間で、この仕事に入札しています。
Hello Hope you are doing well. I have read your project twice and confidently assure i can complete your task perfectly, without satisfaction. I am available to assist yu remote login and can assu=iest yu 24/7 ( res もっと
Please explain your requirement so that we can process the request. Need to understand exactly what is the requirement to from the practice Just to identify the re-credentialing dates or doing complete enrollment
